Primary Focus Symposium Eleventh Annual Friday-Sunday, June 22-24, 2012

Eleventh Annual
Primary Focus Symposium
A. Ruben Caride, M.D.
June 22-24, 2012
Marco Island Marriott Hotel
Marco Island, Florida
A. Ruben Caride, M.D., Symposium Director
Target Audience I Family Physicians, General Internists, Psychologists, Physician
Assistants, Nurses, Nurse Practitioners, Pharmacists, Dietitians, Respiratory Therapists
Symposium Overview I This symposium will provide practical, evidence-based strategies
to strengthen healthcare competencies associated with a wide spectrum of common and
important medical conditions encountered in the primary care setting. Expert faculty will
explain recent advances, discuss emerging treatments and address compelling issues.
11:30 a.m.
Session I
12:55 p.m.
1:00 p.m.
2:00 p.m.
3:00 p.m.
4:00 p.m.
4:30 p.m.
5:30 p.m.
6:30 p.m.
6:45 p.m.
7:15 a.m.
Session II
7:50 a.m.
8:00 a.m.
9:00 a.m.
10:00 a.m.
10:30 a.m.
11:30 a.m.
12:30 p.m.
12:45 p.m.
7:15 a.m.
Session III
7:50 a.m.
8:00 a.m.
9:00 a.m.
10:00 a.m.
10:30 a.m.
11:30 a.m.
Welcome and Introductions
Ethics, Health Information Technology and Primary Care
Reid Cushman, Ph.D.
Chronic Pelvic Pain Syndrome, Chronic Prostatitis and Prostadynia
Darren S. Bruck, M.D.
Oh, My Aching Knee!
Jan Pieter Hommen, M.D.
Break and Visit Exhibits
Integrating Religion and Spirituality Into Clinical Practice
Chaplain Guillermo Escalona
Diseases of the Head and Neck: What Should a Primary Care
Physician Be Looking For?
Shawn A. McClure, DMD, M.D.
Welcome Reception
Registration, Continental Breakfast and Visit Exhibits
Welcome and Introductions
Acupuncture — In Primary Care Practice
Ilana Newman, M.D.
Male “Man-O-Pause” and Testosterone Replacement Therapy
Atil Y. Kargi, M.D.
Break and Visit Exhibits
The Anti-aging Phenomenon and Growth Hormone Injections
Atil Y. Kargi, M.D.
Congestive Heart Failure Update
Francisco J. Jimenez-Carcamo, M.D.
Registration, Continental Breakfast and Visit Exhibits
Welcome and Introductions
The Patient With Abnormal Liver Function Tests
Paul Martin, M.D.
Abnormal Uterine Bleeding in the Perimenopausal Woman
Jason S. James, M.D.
Break and Visit Exhibits
PSA Screenings: To Do or Not to Do?
Alan M. Nieder, M.D.
Symposium Director
General Internist, Baptist Hospital
Miami, Florida
Darren S. Bruck, M.D.
Urologist, Baptist, Doctors and
South Miami Hospitals
Miami, Florida
Reid Cushman, Ph.D.
Director, Research Ethics Program
University of Miami Ethics Programs
University of Miami Miller School
of Medicine
Miami, Florida
Rev. Guillermo Escalona, M.Div.
Board-certified Chaplain, APC
Certified Thanatologist, ADEC
Director, Pastoral Education
Baptist Health Pastoral Care Services
Miami, Florida
Jan Pieter Hommen, M.D.
Orthopedic Surgeon, Baptist, Doctors and
South Miami Hospitals
Miami, Florida
Jason S. James, M.D.
Obstetrician and Gynecologist,
Baptist Hospital of Miami
Miami, Florida
Javier Jimenez, M.D., Ph.D.
Heart Failure, Transplant Cardiologist
Doctors, and South Miami Hospitals
Miami, Florida
Atil Y. Kargi, M.D.
Assistant Professor of Medicine
Division of Endocrinology
University of Miami Miller School of Medicine
Miami, Florida
Paul Martin, M.D.
Chief of Hepatology
University of Miami Miller School of Medicine
Miami, Florida
Shawn A. McClure, DMD, M.D.
Oral and Maxillofacial Surgeon
Baptist and South Miami Hospitals
Miami, Florida
Associate Professor, Director of Research
Department of Oral and Maxillofacial Surgery
NOVA/NSU College of Dental Medicine
Ft. Lauderdale, Florida
Ilana Newman, M.D.
Family Medicine Attending
Hospice & Palliative Care Fellow
Department of Family and Community
University of Miami Miller School of Medicine
Miami, Florida
Alan M. Nieder, M.D.
Assistant Professor, Columbia University
Division of Urology
Mount Sinai Medical Center
Miami Beach, Florida
Educational Objectives
Upon completion of this symposium, participants should
be better able to:
Friday, June 22
I Describe the basic principles of how biomedical ethics are
applied to deployments of health information technologies.
I Identify the particular challenges and opportunities of
advanced information technologies in primary care settings.
I Compare the various therapies advocated for men
diagnosed with chronic prostatitis/chronic pelvic pain
syndromes (CP/CPPS), including investigative approaches
to managing individual patient symptoms.
I Recognize the pathophysiology of various syndromes,
such as nonbacterial prostatitis, and explain how their
management differs from conventional treatment.
I Explain and identify various causes of knee pain, correctly
utilize diagnostic testing and determine when to appropriately refer for physical therapy or specialist care.
I Examine personal growth and development from a religious
and spiritual perspective, and explore ethical concerns related
to religious and spiritual interventions in clinical practice.
I Identify etiologic factors in the development of head and
neck cancer, including prior exposure to papilloma virus.
I Effectively explain the multidisciplinary approach generally
required for treatment planning and managing patients
with head and neck cancers.
Saturday, June 23
I Recognize the benefits and limitations of acupuncture and
its appropriate application in clinical practice for patients
with chronic back pain and headache.
I Describe the normal cycle and patterns of growth hormone, recognize primary and secondary growth hormone
deficiency and examine the current use of growth hormone
supplementation by some practitioners as an anti-aging
I Recognize the signs and symptoms of primary and secondary testosterone deficiency, and formulate an appropriate
treatment plan for the individual patient.
I Examine the use of testosterone replacement as an anti-aging
medication in healthy males.
I Examine innovations in medical and surgical approaches to
the management of advanced heart failure.
Sunday, June 24
I Identify the patient with abnormal liver enzymes through
appropriate use of diagnostic testing.
I Effectively explain causes of abnormal liver function tests,
treatable causes of liver disease and optimal approaches to
I Explain the various etiologies of abnormal uterine bleeding
in the perimenopausal woman, and initiate an appropriate
I Examine the role of hormone replacement therapy,
including the risks associated with unopposed estrogen
therapy, and recognize the danger signs of early carcinoma.
I Evaluate the various medical and surgical options for
managing abnormal uterine bleeding, and determine when
to refer to a specialist.
I Implement the most recent U.S. Preventive Task Force
recommendations on PSA screening in asymptomatic males.
I Differentiate between prostate-specific antigen (PSA)
screening and PSA testing, and identify the nuance of
current PSA evaluation and treatment of prostate cancer
across various age groups.
Hotel Location and Accommodations
Marco Island Marriott Hotel is a tranquil island
paradise nestled on three miles of pristine Southwest
Florida beaches, a perfect destination for a family vacation
and a memorable symposium.
Don’t delay — hotel rooms go very quickly! Make
your reservation now by calling 800-438-4373 or go to to receive the special group rate
of $189, plus applicable taxes. Group rates will be honored
through Monday, May 21.
Disclosures and Conflict of Interest Resolutions
Baptist Health requires resolution of all conflicts of
interest to ensure balance, independence, objectivity and
scientific rigor in all CME programming. Conflicts of
interest of any individuals who control CME content will be
identified and resolved prior to this educational activity. Full
disclosure will be made in the symposium handout. Presenters
will also disclose discussions of off-label (unapproved) uses.
Accreditation and Credits
Baptist Health South Florida is accredited by the Accreditation
Council for Continuing Medical Education to provide continuing
medical education for physicians.
Baptist Health South Florida designates this educational activity
for a maximum of 12 AMA PRA Category 1 Credits™. Physicians
should claim only credit commensurate with the extent of their
participation in the activity.
Baptist Health South Florida is approved as a provider of
Continuing Psychological Education by the Florida Board of Psychology.
CE Broker Provider #50-182. This activity has been approved for 5.0
credits for the Friday session (CE Broker #20-343428), 4.0 credits for
the Saturday session (CE Broker #20-343429) and 3.0 credits for the
Sunday session (CE Broker #20-343430).
This activity has been approved on a session-by-session basis for
a total of 12.0 contact hours by the Florida State Board of Nursing,
Baptist Health South Florida. CE Broker Provider #50-182. (5.0
credits for the Friday session, 4.0 credits for the Saturday session and
3.0 credits for the Sunday session.)
This activity has been approved on a session-by-session basis for
a total of 12.0 contact hours for respiratory therapy personnel in the
category of personal growth by the State of Florida, AHCA provider
#RCE58, Baptist Health South Florida, CE Broker #50-182. (5.0
credits for the Friday session, 4.0 credits for the Saturday session and
3.0 credits for the Sunday session.)
This Live activity, Eleventh Annual Primary Focus Symposium,
with a beginning date of June 22, 2012, has been reviewed and is acceptable for up to 12 Prescribed credit(s) by the American Academy
of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
NOTE: Partial credits are available as indicated above. Participants must attend each session in its entirety to receive complete
credit for the session. (This does not apply to M.D.s and D.O.s.)
Symposium Registration
The registration fee includes tuition for the entire symposium and continental breakfast on Saturday and Sunday. The
Friday Welcome Reception and the Saturday Poolside Lunch
are also available to you and your family for a nominal fee.
The following options are available to expedite your
symposium registration:
I Register online at
I Mail registration with payment to the Baptist Health CME
Department: 8900 North Kendall Drive, Miami, FL 33176.
I Fax the registration form with your credit card
information to 786-533-9821.
Cancellation Policy
Cancellations must be received in writing by Friday,
June 15, to receive a refund of the registration fee, less a
$50 administrative fee. Cancellations received after June 15
will forfeit the registration fee.
Important: The schedule is subject to change. For the most updated schedule, please visit the symposium website at